To ask the Scottish Executive how many (a) children and (b) adults were admitted to hospital as a result of malnutrition in each year since 1997, broken down by NHS board.
Centrally held informationcan provide details for patients where malnutrition is identified on their hospitalrecords. These figures may represent an undercount of the true number of cases becausemalnutrition as an underlying reason for admission to hospital may not always berecorded, by clinicians or coded by coding staff. Furthermore, recent improvementsin the completeness of coding (the number of diagnoses that are recorded) may suggestan undercount of the number of cases of malnutrition recorded in earlier years.
The definition of malnutrition includes diagnoses of nutritionaldeficiencies (e.g. vitamin A, thiamine and calcium deficiencies), nutritional anaemiasand malnutrition related diabetes mellitus.
Table 1 shows the number of patients discharged from acutehospitals in Scotland with a diagnosis of malnutrition broken downby NHS board of residence and age group.
Table1: Number of Patients Discharged with Diagnosis of Malnutrition in NHS Scotland,by NHS Board of Residence; for Years Ending 31 March 1998-2006
All Ages | Year Ending 31 March |
1998 | 1999 | 2000 | 2001 | 2002 | 2003 | 2004 | 2005 | 2006 |
Scotland | 1,755 | 1,808 | 1,784 | 1,627 | 1,586 | 1,731 | 1,752 | 1,821 | 1,909 |
Ayrshire and Arran | 107 | 107 | 144 | 136 | 129 | 164 | 126 | 116 | 117 |
Borders | 44 | 53 | 40 | 29 | 45 | 39 | 59 | 34 | 35 |
Dumfries and Galloway | 86 | 101 | 117 | 104 | 90 | 98 | 91 | 81 | 85 |
Fife | 43 | 49 | 75 | 74 | 93 | 98 | 107 | 123 | 125 |
Forth Valley | 59 | 56 | 79 | 77 | 87 | 91 | 55 | 62 | 51 |
Grampian | 62 | 69 | 70 | 67 | 53 | 55 | 83 | 96 | 95 |
Greater Glasgow and Clyde | 578 | 620 | 499 | 450 | 386 | 426 | 440 | 511 | 503 |
Highland | 72 | 68 | 84 | 75 | 86 | 92 | 87 | 97 | 137 |
Lanarkshire | 261 | 287 | 275 | 268 | 187 | 200 | 172 | 157 | 145 |
Lothian | 301 | 243 | 224 | 198 | 307 | 337 | 401 | 423 | 514 |
Orkney | 5 | 2 | 3 | 1 | 2 | 3 | 5 | 5 | 8 |
Shetland | 5 | 2 | 7 | 5 | 3 | 3 | 5 | 6 | 6 |
Tayside | 124 | 131 | 157 | 134 | 113 | 116 | 118 | 103 | 82 |
Western Isles | 8 | 20 | 10 | 9 | 5 | 9 | 3 | 7 | 6 |
Children (Aged 0-15 Years) | 1998 | 1999 | 2000 | 2001 | 2002 | 2003 | 2004 | 2005 | 2006 |
Scotland | 50 | 49 | 41 | 39 | 33 | 31 | 38 | 31 | 38 |
Ayrshire and Arran | 4 | 7 | 6 | 3 | 3 | 2 | 5 | 4 | 1 |
Borders | - | - | - | - | - | 1 | - | 1 | - |
Dumfries and Galloway | 3 | 2 | 1 | 2 | 2 | 2 | 3 | 2 | 1 |
FIFE | 5 | 2 | 3 | 2 | - | 6 | 2 | 1 | - |
Forth Valley | - | 1 | 2 | 2 | 1 | - | 2 | 1 | 1 |
Grampian | 4 | 8 | 6 | 4 | 4 | 2 | 2 | 3 | 2 |
Greater Glasgow and Clyde | 10 | 14 | 10 | 5 | 9 | 3 | 9 | 5 | 10 |
Highland | 8 | 5 | 3 | 7 | 7 | 5 | 2 | 1 | 2 |
Lanarkshire | 6 | 3 | 1 | 6 | 2 | 3 | 1 | 4 | 5 |
Lothian | 4 | 3 | 5 | 5 | 2 | 6 | 7 | 5 | 11 |
Orkney | - | - | - | - | - | - | - | - | - |
Shetland | - | - | - | - | 1 | - | - | - | - |
Tayside | 6 | 4 | 3 | 3 | 2 | 1 | 5 | 4 | 5 |
Western Isles | - | - | 1 | - | - | - | - | - | - |
Adults (Aged 16 Years and Over) | 1998 | 1999 | 2000 | 2001 | 2002 | 2003 | 2004 | 2005 | 2006 |
Scotland | 1,705 | 1,759 | 1,743 | 1,588 | 1,553 | 1,700 | 1,714 | 1,790 | 1,871 |
Ayrshire and Arran | 103 | 100 | 138 | 133 | 126 | 162 | 121 | 112 | 116 |
Borders | 44 | 53 | 40 | 29 | 45 | 38 | 59 | 33 | 35 |
Dumfries and Galloway | 83 | 99 | 116 | 102 | 88 | 96 | 88 | 79 | 84 |
Fife | 38 | 47 | 72 | 72 | 93 | 92 | 105 | 122 | 125 |
Forth Valley | 59 | 55 | 77 | 75 | 86 | 91 | 53 | 61 | 50 |
Grampian | 58 | 61 | 64 | 63 | 49 | 53 | 81 | 93 | 93 |
Greater Glasgow and Clyde | 568 | 606 | 489 | 445 | 377 | 423 | 431 | 506 | 493 |
Highland | 64 | 63 | 81 | 68 | 79 | 87 | 85 | 96 | 135 |
Lanarkshire | 255 | 284 | 274 | 262 | 185 | 197 | 171 | 153 | 140 |
Lothian | 297 | 240 | 219 | 193 | 305 | 331 | 394 | 418 | 503 |
Orkney | 5 | 2 | 3 | 1 | 2 | 3 | 5 | 5 | 8 |
Shetland | 5 | 2 | 7 | 5 | 2 | 3 | 5 | 6 | 6 |
Tayside | 118 | 127 | 154 | 131 | 111 | 115 | 113 | 99 | 77 |
Western Isles | 8 | 20 | 9 | 9 | 5 | 9 | 3 | 7 | 6 |
Notes:
1. These statistics are derivedfrom the linked database containing linked discharges from non-obstetric and non-psychiatrichospitals (SMR01) records in Scotland.
2. Up to six diagnoses (one principal,5five secondary) are recorded on the SMR01 return. All diagnostic positions havebeen used to select malnutrition.
3. There is not one single, specificInternational Classification of Disease (ICD), tenth revision, code for malnutritionand this analysis is based on the following ICD10 codes: E40-E46, E50-E64, E12,O25, D51.3, D52.0, D53.2, D53.8, D53.9, M83.3, O24.2, F50.0, F50.1 and T73.0.
4. Age group and NHS board ofresidence is assigned on the first discharge for each patient.
5. Patients with more than one discharge in the year areonly counted once but may be counted more than once across years.